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                <text>MUDA O MODELO ASSISTENCIAL, MUDA O TRABALHO DA ENFERMEIRA NA ATENÇÃO BÁSICA?</text>
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                <text>Magda Duarte dos Anjos Scherer</text>
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                <text> Jacks Soratto</text>
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                <text>Este estudo teve por objetivo identificar as atividades desenvolvidas no trabalho das enfermeiras da atenção básica, em Unidades Básicas de Saúde que ainda seguem o modelo tradicional de assistência à saúde e a Estratégia Saúde da Família. Pesquisa de abordagem qualitativa, com a utilização de triangulação para a coleta e análise de dados obtidos por meio de entrevista e observação. Foram entrevistadas 20 enfermeiras de 11 Unidades Básicas de Saúde, de quatro municípios da região Sul do Brasil, entre março a maio de 2013. Os achados sinalizam que o trabalho das enfermeiras muito se assemelha nas unidades investigadas, nos dois modelos assistenciais, nos quais elas se esforçam para se adequar a política prescrita pelo Ministério da Saúde, bem como as atividades que predominam são as de cunho assistencial. Conclui-se que as ações fragmentadas ainda são constantes em ambos os modelos; as limitações se referem especialmente às condições de trabalho, e ainda existe uma incongruência com a política prescrita pelo Ministério da Saúde.</text>
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                <text>Atenção Primária à Saúde. Saúde da Família. Papel da Enfermeira.</text>
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                <text>Advanced practice nursing: a possibility for Primary Health Care?</text>
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                <text>Objective: Reflect on the role of advanced practice nursing (APN) in the context of Brazilian primary health care. Method: analysis of the main scientific productions and of the discussion on the implementation of APN. Results: there are favorable areas for the work of APN in primary health care, especially in the family health strategy. Professional master’s degree and nurse residency programs constitute powerful training spaces. As a challenge, standardized definition of the roles of advanced practice nurses and of minimum training for work are necessary. Final considerations: researches that contribute to understanding the perspectives, facilitators, and barriers for APN are necessary, as well as determining the population’s health needs and expectations concerning the role of these professionals.</text>
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                <text>Inglês</text>
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                <text>https://doi.org/10.1590/0034-7167-2017-0672</text>
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                  <text>Formação de pessoal da enfermagem na APS</text>
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                <text>Identity of primary health care nurses: perception of "doing everything"</text>
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                <text>Maria Rocineide Ferreira da Silva</text>
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                <text>Raimundo Augusto Martins Torres</text>
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                <text>Maria Socorro de Araújo Dias</text>
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                <text>Thereza Maria Magalhães Moreira</text>
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                <text>Objective: To analyze, in the speeches of nurses, the habitus that conforms their professional identity in the primary health care area. Method: Qualitative study, carried out from March to October 2015, with nurses of primary healthcare units in the cities of Cajazeiras, in the state of Paraíba, and Maracanaú, in the state of Ceará. Data were collected by means of semi-structured interviews, and analyzed through discourse analysis. Results: Nurses, in their practice and perception, perceive that professional identity is linked to the meaning that involves the word "everything". This situation constitutes a habitus that directs the range of daily actions, often distant from the profession's core of knowledge. Final considerations: Trying to be and do everything in primary health care involves negative repercussions in the professional identity of nurses. Strategic guidance is necessary in order to achieve and embrace elements that reflect the essence of this category.</text>
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                <text>Primary Health Care; Primary Care Nursing; Nurse's Role; Professional Competence; Nursing Care</text>
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                <text>Revista Brasileira de Enfermagem</text>
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                <text>Inglês</text>
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                <text>http://dx.doi.org/10.1590/0034-7167-2016-0382</text>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Enfermagem em foco</text>
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                <text>2019</text>
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            <name>Language</name>
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                <text>Português</text>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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                <text>Revista</text>
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            <name>Identifier</name>
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                <text>https://doi.org/10.21675/2357-707X.2019.v10.n6</text>
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                  <text>Formação de pessoal da enfermagem na APS</text>
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      <name>Texto</name>
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            <name>Title</name>
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                <text>O trabalho do enfermeiro na atenção primária à saúde rural no Brasil</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>Arleusson Ricarte de Oliveira</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>O objetivo geral deste estudo foi analisar o trabalho de enfermeiros da Atenção Primária à Saúde em áreas rurais, focalizando os sentidos do trabalho, políticas de saúde rurais e condições de trabalho. Foi realizado um estudo de caso com abordagem qualitativa. Os participantes foram 11 enfermeiros de equipes da Estratégia Saúde da Família de áreas rurais do município de Campina Grande, Paraíba. A coleta de dados ocorreu no período de janeiro a março de 2017, por meio de entrevista, mediante uso de roteiro semiestruturado, e por meio de análise documental. Os documentos e as entrevistas foram submetidos à Análise de Conteúdo. Na análise dos documentos foram construídas duas categorias: "Políticas internacionais de saúde para área rural" e "Políticas nacionais de saúde para área rural". Das entrevistas emergiram quatro categorias: "Contexto de vida e saúde de populações atendidas pela Estratégia Saúde da Família de área rural: um lugar de população carente"; "Condições de trabalho de enfermeiros da Estratégia Saúde da Família de áreas rurais"; "Práticas cotidianas de enfermeiros em áreas rurais"; "Sentidos do trabalho para enfermeiros da Estratégia Saúde da Família de áreas rurais". No Brasil vem sendo criadas políticas para a redução das desigualdades em saúde dos diversos grupos de populações rurais do país, mas essas políticas não se efetivaram completamente. A primeira categoria revelou que a população rural tem condições de vida e saúde precárias; a maioria constituída de agricultores, aposentados, com elevado número de pessoas desempregadas. A Unidade de Saúde da Família constitui a única alternativa de acesso à saúde e há isolamento dessa população em relação ao uso de tecnologias de comunicação e informação. A segunda categoria descreve as dificuldades inerentes às condições de trabalho dos enfermeiros. As principais dificuldades foram: percurso longo percorrido pelo enfermeiro para acesso às Unidades de Saúde da Família rurais por meio de rodovia asfaltada e estrada de terra; cronograma de trabalho diferenciado em função das particularidades existentes do meio rural que influenciam o acesso ao serviço. A terceira categoria mostra que as práticas cotidianas dos enfermeiros estão focadas em grupos já conhecidos pelos protocolos ministeriais, como crianças, hipertensos, diabéticos, além de ações programáticas e de atendimento individual à demanda espontânea. Essas práticas são influenciadas pelas condições de trabalho, como transporte precário no deslocamento para as áreas rurais, falta de água nas unidades, o que é essencial para realizar os procedimentos e a assistência. A quarta categoria descreve os sentidos do trabalho para os enfermeiros com base nas dimensões dos sentidos do trabalho definidas por Morin; Tonelli e Pliopas, (2007), que são: individual, organizacional e social. Os enfermeiros identificam que o trabalho produz sentido positivo ao perceberem a satisfação pessoal no trabalho, crescimento e aprendizado, identificação com o trabalho, utilidade da atividade que realizam, vínculo com a população e a inserção e contribuição social do trabalho. Em contrapartida, a falta de plenitude no trabalho, em especial, decorrente das difíceis condições e da organização dos serviços, e a relação distante da gestão com os profissionais, foram os principais aspectos identificados pelos profissionais como perda de sentido para desenvolverem o trabalho. Conclui-se que o trabalho do enfermeiro da Estratégia Saúde da Família das áreas rurais estudadas possui uma dinâmica diferenciada, com 8 particularidades próprias da área rural e por dificuldades de infraestrutura, organização e operacional dos serviços, que afetam o desempenho do trabalho de enfermagem compatível com a Atenção Primária à Saúde. Aspectos esses que influenciam na atribuição de diferentes sentidos ao trabalho por este profissional. São necessárias políticas de saúde, em especial, do Sistema Único de Saúde, para aprimorar o modelo de atenção à saúde e combater as iniquidades em saúde de forma a contemplar populações de áreas rurais.</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Enfermagem; Atenção Primária à Saúde; Estratégia Saúde da Família; Áreas Rurais.</text>
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          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="3514">
                <text>Universidade Federal de Minas Gerais</text>
              </elementText>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>2019</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="3516">
                <text>PDF</text>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="3517">
                <text>Português</text>
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            <name>Type</name>
            <description>The nature or genre of the resource</description>
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              <elementText elementTextId="3518">
                <text>Tese</text>
              </elementText>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="3519">
                <text>http://hdl.handle.net/1843/ENFC-BCEK74</text>
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